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BLAKE PAIN SOLUTIONS PC
NPI 1063784700
Clinic/Center - Pain in Vancouver, WA

Active since January 26, 2012
2312 NE 129TH ST, VANCOUVER, WA 98686(360) 696-5022(360) 696-5445 Get Directions Write a Review

NPPES record last updated: March 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blake Pain Solutions Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE PAIN SOLUTIONS PC (NPI 1063784700) is a healthcare organization registered as a pain in Vancouver, Washington and active in the NPI registry since January 2012. The organization lists Jacob Leroy Blake, Ceo/physician, as its authorized official.

NPPES Registry Identity

NPI1063784700
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameBLAKE PAIN SOLUTIONS PC
Location Address2312 NE 129TH STVancouver, WA 98686-3236
Mailing AddressPo Box 1600Vancouver, WA 98668-1600 · (360) 696-5022 · Fax (360) 696-5445
Phone(360) 696-5022
Fax(360) 696-5445
Organization SubpartNo
Authorized OfficialJacob Leroy BlakeCeo/physician · (503) 894-0365
Enumeration DateJanuary 26, 2012
Last NPPES UpdateMarch 19, 2012
✔ NPI 1063784700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
License✔ Licensed in WA · MD60071790
2312 NE 129TH ST, Vancouver, WA 98686
Open in Google Maps ↗

Other Identifiers 1

Medicaid8537383WA

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATE ELIZABETH WHITENECK DO
Physical Medicine & Rehabilitation
2312 NE 129TH ST
VANCOUVER, WA 98686
Clark County (360) 546-8950
LININA MARIE ZOCCHI ARNP
Nurse Practitioner (Adult Health)
2312 NE 129TH ST
VANCOUVER, WA 98686
Clark County (360) 696-5022
ABBAS NAVROZE ASGERALLY M.D.
Pain Medicine (Pain Medicine)
2312 NE 129TH ST
VANCOUVER, WA 98686
Clark County (360) 546-8950
PACIFIC NORTHWEST PAIN CENTER
Anesthesiology (Pain Medicine)
2312 NE 129TH ST
VANCOUVER, WA 98686
Clark County (360) 696-5022
CHRISTINE WILLIAMSON APRN-NP
Nurse Practitioner
2312 NE 129TH ST
VANCOUVER, WA 98686
Clark County (360) 546-8900
ADIL AMIR MALIK MD
Physical Medicine & Rehabilitation
2312 NE 129TH ST
VANCOUVER, WA 98686
Clark County (360) 514-3142
SERENDIB PAIN CARE PLLC
Clinic/Center (Pain)
2312 NE 129TH ST
VANCOUVER, WA 98686
Clark County (360) 696-5022
EUN JUNG YI MD
Anesthesiology (Pain Medicine)
2312 NE 129TH ST
VANCOUVER, WA 98686
Clark County (360) 696-5022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Pain Solutions PC's NPI number?

The NPI number for Blake Pain Solutions PC is 1063784700. It was assigned to this organization in the NPPES registry on January 26, 2012.

Where is Blake Pain Solutions PC located?

Blake Pain Solutions PC is located at 2312 NE 129th St, Vancouver, WA 98686. The listed phone number is (360) 696-5022.

What is Blake Pain Solutions PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Blake Pain Solutions PC was last updated on March 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.